| NPI | 1851809131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403611-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339589) |
| Enumeration Date | 2018-01-20 |
| Last Update Date | 2021-09-24 |