| NPI | 1881978260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 404360) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 646650) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2022-08-15 |