| NPI | 1871722587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F401797) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F302707) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2024-10-07 |