| NPI | 1174195168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11014473) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9388438) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404341) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01262400) | |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2025-07-07 |