| NPI | 1982722237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404569-01) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY f350258-1) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-08-22 |