| NPI | 1992462477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404201) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 804172) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2023-01-04 |