| NPI | 1861929325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403970) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F308114-1) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-08-16 |