| NPI | 1043712003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00854600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018667) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00854600) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2024-06-22 |