| NPI | 1639328966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400335-1) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 406019-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400335) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2021-11-15 |