| NPI | 1497200018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00988100) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2310614) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61526102) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95013035) | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2025-01-30 |