| NPI | 1629421466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F-402294-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 705541) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402294) | |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2017-12-28 |