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 |