| NPI | 1154607984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00870300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F341276-1) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F405730-01) | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2024-07-16 |