| NPI | 1881107753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024193186) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406790) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 341144) | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2026-06-18 |