| NPI | 1225901531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15475000) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10048115) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F407915) | |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2026-01-15 |