| NPI | 1700047206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401257-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 332353) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350053) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2021-03-12 |