| NPI | 1467901165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402336) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-138569) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 342433) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2022-07-05 |