| NPI | 1881352789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 403889) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 554527) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY F403889-01) | |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2022-05-26 |