| NPI | 1790937894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404031) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F334928) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-05-15 |