| NPI | 1811003379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400876-1) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 524917) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F337249-1) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-07-31 |