| NPI | 1588208672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 403481) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NY 779773) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2021-07-12 |