| NPI | 1346895778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405740) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00942400) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 349159) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00942400) | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2024-07-15 |