| NPI | 1659701050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402828-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 402828) |
| 163W00000X Registered Nurse (Licence: NY 676627-1) | |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2023-01-10 |