| NPI | 1386410223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15012600) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405619) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11029858) | |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2024-05-04 |