| NPI | 1972929453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 681166-1) |
| Enumeration Date | 2014-03-08 |
| Last Update Date | 2023-02-27 |