| NPI | 1609046564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 565727) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 348936) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2024-10-29 |