| NPI | 1841078359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405347) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 745153) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-10-10 |