| NPI | 1538451844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308102) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 27318) |
| 101YM0800X Counselor, Mental Health (Licence: NY 005140) | |
| 163W00000X Registered Nurse (Licence: NY 704575) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2023-01-17 |