| NPI | 1023112463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 227651-1) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26nr02608100) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA rn147743l) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301725-1) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA tp005903c) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NJ 26nc02608100) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |