| NPI | 1801318449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402435-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 675357-1) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2018-08-30 |