| NPI | 1831346410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F-401278) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 317234) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401278) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2023-07-06 |