| NPI | 1952559700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402674) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 002068-1) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2023-04-07 |