| NPI | 1861208548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406571-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR25186100) |
| 163W00000X Registered Nurse (Licence: NY 966281) | |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2025-01-02 |