| NPI | 1033123823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F332513) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ NN097771) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR09777100) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400675) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-02-05 |