| NPI | 1841620705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406751) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 3142861-1) |
| 163W00000X Registered Nurse (Licence: NY 726444-01) | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2026-06-13 |