| NPI | 1679059802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406062) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 605795-01) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2024-08-02 |