| NPI | 1578808358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 660891) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2380804) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1152363) | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2024-10-28 |