| NPI | 1366279820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405920) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP026963) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15014500) | |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |