NPI | 1982010054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401923-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6737541) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2016-05-03 |