| NPI | 1487427886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 404954) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 743043) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-07-14 |