| NPI | 1952633224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404582) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420952-1) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00334400) | |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2023-05-11 |