NPI | 1629306188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406334) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335585) |
Enumeration Date | 2009-11-21 |
Last Update Date | 2025-08-09 |