| NPI | 1952901217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 403344) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403344) |
| 2084P0805X (Licence: NY 403344) | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2025-10-24 |