| NPI | 1710602701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404593) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11022342) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11022342) | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2024-03-18 |