| NPI | 1639218530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F400887-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F332021) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-07-31 |