| NPI | 1548491806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401932) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1019382) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111988) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024170106) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2019-06-06 |