NPI | 1649751942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404521-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 749100-1) |
Enumeration Date | 2018-08-24 |
Last Update Date | 2024-09-10 |