| NPI | 1033384631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26nj00634600) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401807) |
| 163W00000X Registered Nurse (Licence: NY 581048-1) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2025-08-28 |