| NPI | 1811286222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 628539) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F309299-01) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405618-01) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2024-07-18 |