| NPI | 1952775611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY F403746) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701175-1) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2022-05-21 |