| NPI | 1871632414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400874-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 516513-1) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-02-09 |