| NPI | 1255889580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9210920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00732000) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9210920) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2023-01-26 |