| NPI | 1528457686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407845) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 309688) |
| 163W00000X Registered Nurse (Licence: NY 692442) | |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2026-03-12 |