| NPI | 1497834659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 058580-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 058580-21) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F4003061) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2009-06-22 |