| NPI | 1811304793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401913) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 672495) |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2016-08-09 |