| NPI | 1841680139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404725) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 345905) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP127855) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 19617) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2023-04-25 |