| NPI | 1669580072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400734) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303039) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NY f400734) | |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2007-11-29 |