| NPI | 1194122572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01470600) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 319404-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404880) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2023-06-07 |