| NPI | 1366854598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9454635) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9454635) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00496800) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9454635) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2024-02-07 |