| NPI | 1740895465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 405811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP145579) |
| 363LF0000X Nurse Practitioner Family (Licence: NY F346688) | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2024-06-05 |