| NPI | 1548516867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402532) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 336659) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F336659-1) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2025-09-25 |