| NPI | 1023265238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R219600) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26nr11117900) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 5453561) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00046800) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 567995) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2016-11-16 |