| NPI | 1881389328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405031) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 685899) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-06-29 |