| NPI | 1457773640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26nNJ01041600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011774) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01041600) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010493) | |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2024-01-12 |