| NPI | 1639676307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402863) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95137671) |
| 163W00000X Registered Nurse (Licence: NY 779096) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95012680) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2020-02-07 |