| NPI | 1477981496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00468500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00468500) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F404491) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY 338222) | |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2024-07-24 |