| NPI | 1811164510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F402973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0035446) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: DE LB-0000283) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2021-11-08 |