| NPI | 1558663856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401699) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F3000731) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F3313801) | |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2020-11-14 |