| NPI | 1912381989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402089) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17485400) |
| 163W00000X Registered Nurse (Licence: NY 686457) | |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2019-12-04 |