| NPI | 1558929331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 739530) |
| 363L00000X Nurse Practitioner (Licence: NY 402642) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-06-30 |