| NPI | 1881066942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405614-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339839-1) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2024-12-23 |