| NPI | 1225190341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP009992) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00142500) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: DE LE-0000169) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NJ 26NJ00142500) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2022-08-26 |