| NPI | 1437875408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP026362) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010341) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01384700) | |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2024-12-17 |