| NPI | 1891815056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401389-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F332603-1) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-10-31 |