| NPI | 1487432035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406142) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 619787) |
| 163W00000X Registered Nurse (Licence: NY 619787) | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2025-11-26 |