| NPI | 1639390792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: NY 016491001) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 2928931) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F4000751) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2025-09-11 |