| NPI | 1679702336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 335925) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 424639) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401857) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2025-07-21 |