| NPI | 1598904476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 056364-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 341622) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2021-04-14 |