| NPI | 1578103990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404801) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 738126) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 348158) | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2025-06-17 |