| NPI | 1730619800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402295) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 736068) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NR18065500) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2018-01-22 |