| NPI | 1558831867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402711) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 674684) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NY 674684) | |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2021-08-11 |