| NPI | 1083967798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406635) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308688) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26nj15376800) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2025-10-14 |