| NPI | 1952436966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11006021) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F330280-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400723-1) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-07-16 |