| NPI | 1285848994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400704) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP007799) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6519) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00113600) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-01-18 |