| NPI | 1881005478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY f401694) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f338723) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 18374) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 18374) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2020-11-17 |