NPI | 1891460150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403581) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 403581) |
Enumeration Date | 2021-08-10 |
Last Update Date | 2023-07-17 |