| NPI | 1740347095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 664500) |
| 171100000X Acupuncturist (Licence: NY 25003048) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-10-21 |