| NPI | 1700218831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 741263) |
| 163W00000X Registered Nurse (Licence: CT 4700) | |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2024-09-18 |