| NPI | 1467045815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404188) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 802495) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2022-08-12 |