| NPI | 1992886428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400762) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 477641) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400762-1) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-08-06 |