| NPI | 1902269376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 407390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 799853) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2025-08-26 |