| NPI | 1821235987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403595) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 22566383) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2022-02-02 |