| NPI | 1477798080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11040481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 357230) |
| 363L00000X Nurse Practitioner (Licence: CT 15645) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407450) | |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2026-01-30 |