| NPI | 1386913382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1073707) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 303429) |
| 164W00000X Licensed Practical Nurse (Licence: NJ 26NP06591200) | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2024-01-15 |