| NPI | 1801964242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334011) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400928) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400928-1) | |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2015-12-07 |