| NPI | 1821620535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403106) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 659203) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403106-01) | |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2024-06-06 |