| NPI | 1831261296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F401165-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 467187) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-03-31 |