| NPI | 1518135813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405671-01) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 599209) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2024-05-20 |