| NPI | 1689329708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407414) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 163W00000X Registered Nurse (Licence: NY 911734-01) | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2025-09-16 |