| NPI | 1902842024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F3014051) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 3173951) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F3014051) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F4010201) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2021-02-17 |