| NPI | 1659615169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402497-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 607520-1) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2018-11-15 |