| NPI | 1245935964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406252) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15149600) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL TPAN3595) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70021595) | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-05-13 |