| NPI | 1841330891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 331167) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-12-22 |