| NPI | 1558897553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 402254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 533394) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-02-29 |