| NPI | 1649559329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 40401488) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 603195) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2024-01-02 |