| NPI | 1073844692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00353500) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401219-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP014702) | |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2022-09-27 |