| NPI | 1700509759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 577088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 577088) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-04-04 |