| NPI | 1508068214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY NO402074) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 00357726) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-11-16 |