| NPI | 1023580644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA sp021567) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA rn604866) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0000209) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ NJCATEMP-032239) | |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2020-12-28 |