| NPI | 1629205547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403771) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420931) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2024-01-24 |