| NPI | 1609318435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F407045) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9425950) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2025-08-27 |