| NPI | 1720244833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 403021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 554743-1) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2024-01-07 |