| NPI | 1477747434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401037) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 450292) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2017-03-07 |