| NPI | 1679706881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401201-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13466100) |
| 163W00000X Registered Nurse (Licence: NY 576684-1) | |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2022-02-09 |