NPI | 1952779878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 310911) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 704126-1) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2022-09-23 |