| NPI | 1497938849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024182859) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001244167) |
| 164W00000X Licensed Practical Nurse (Licence: NY 289579) | |
| 163W00000X Registered Nurse (Licence: NY 624955-1) | |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2023-11-01 |