| NPI | 1790315885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403487) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 780282) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2021-10-21 |