| NPI | 1962457226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401267) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 003114) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-09-08 |