| NPI | 1043024094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407803) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22742100) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15483100) | |
| 163W00000X Registered Nurse (Licence: NY 691692-1) | |
| Enumeration Date | 2025-02-01 |
| Last Update Date | 2026-01-30 |