NPI | 1740309871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403209) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 403209) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2024-08-09 |