| NPI | 1841938123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404364-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 728185) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404364) | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2023-04-15 |