| NPI | 1801128053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F401414-1/7534679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 459153) |
| 163W00000X Registered Nurse (Licence: NY 459153-1) | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2015-05-08 |