| NPI | 1609142587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 430639) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430639) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2026-07-31 |