| NPI | 1821699596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406738) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 790772) |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2025-03-23 |