| NPI | 1467908244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403392) |
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: NY 412294-1) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2023-07-27 |