| NPI | 1972974285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 820561) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 323548) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2024-06-04 |