| NPI | 1508302522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405188) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY 001789) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2023-07-17 |