| NPI | 1538518659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 40 402007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 630501) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-15 |