| NPI | 1851578363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401729) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 585848) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306005) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2017-03-10 |