| NPI | 1477873776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402451) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 467404-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F336363) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2018-09-18 |