| NPI | 1558754739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403321) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 006932) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 33339400) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2022-11-10 |