| NPI | 1922036003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402027) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302378) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-07-11 |