| NPI | 1952971020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 745433) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 347769) | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2024-03-22 |