| NPI | 1558601146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401787-1) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 662161) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2016-04-15 |