| NPI | 1093184392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP028297) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00580800) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP023302) | |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2024-02-08 |