| NPI | 1679822191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403379-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 659211) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2024-04-11 |