| NPI | 1538416185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406984-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00386800) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F337475-01) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00386800) | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2025-05-07 |