| NPI | 1568197606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 404269) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 803946) |
| 163W00000X Registered Nurse (Licence: NJ 26NR22320100) | |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2025-06-03 |