| NPI | 1821897976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 989216) |
| 163W00000X Registered Nurse (Licence: MA RN2390844) | |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-07-23 |