| NPI | 1740673045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F408768) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381572) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY F350467) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2026-08-13 |