| NPI | 1699372375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 404028) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2023-07-22 |