| NPI | 1154797686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339811) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00613400) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406217) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-10-17 |