| NPI | 1467193110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95044482) |
| 163W00000X Registered Nurse (Licence: NY 701316) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020335) | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-12-05 |