| NPI | 1780982173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F401716) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 613161) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2016-07-20 |