| NPI | 1508928920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 229768) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400995-1) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381648-1) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-11-14 |