| NPI | 1659512051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335707) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2021-07-07 |