| NPI | 1962958538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11018482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340359) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403768) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-11-11 |