NPI | 1669915203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403590) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340714) |
Enumeration Date | 2016-11-30 |
Last Update Date | 2023-12-19 |