| NPI | 1982018388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306898-1) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402175-1) |
| 225700000X Massage Therapist (Licence: 033955) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2026-01-08 |