| NPI | 1124447024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00569000) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP029429) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP014867) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2024-12-03 |