| NPI | 1477877496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401626-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 285301) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2017-01-11 |