| NPI | 1750130969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: NY 666739-01) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 666739-01) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |