| NPI | 1740674670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406324-01) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CO 1628063) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2025-01-20 |