| NPI | 1962879460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403369) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 832571) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128646) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2026-06-23 |