| NPI | 1902097397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 2195251) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400512) |
| 364S00000X Clinical Nurse Specialist (Licence: NY 0108674) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |