| NPI | 1952714396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY f4018011) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6616661) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2018-07-17 |