| NPI | 1306636352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15355300) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA ARNP.AP.70018897-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10032542) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP033108) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407392) | |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-10-01 |