| NPI | 1831409861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 404175) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 336512) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2022-11-28 |