| NPI | 1760997886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701235) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2020-08-12 |