| NPI | 1699895680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400849) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 305386) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F330827) | |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2009-04-28 |