| NPI | 1730764887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-3453-0) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 645607) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403550) | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2022-06-28 |