NPI | 1457449019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400859) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3309391) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2023-09-08 |