| NPI | 1568501211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401820) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY MF1115369) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2016-02-15 |