| NPI | 1588343719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404780) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 729898) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2025-09-22 |