| NPI | 1639617046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 563340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 563340) |
| 163WC1500X Registered Nurse, Community Health (Licence: NY 563340) | |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 563340) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311182-01) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F311182-01) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2024-05-31 |