| NPI | 1689990772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406854) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 590150) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309138) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2026-08-18 |