NPI | 1649623984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405315) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382653) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2024-05-17 |