| NPI | 1609817279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 334081) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-08-09 |