| NPI | 1700229796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402488) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305355) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305355) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2022-07-15 |