| NPI | 1871025882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406205-01) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 716833-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F345639-01) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2025-03-31 |