| NPI | 1801567573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406641) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 636240) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2025-07-01 |