| NPI | 1588162135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403290) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 548825) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2024-08-22 |