| NPI | 1659682920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 611587) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307068) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2023-05-16 |