| NPI | 1508647660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 774422) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 774422) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 774422) | |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |