| NPI | 1538446687 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15185900)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP121133)  | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 17267)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 737945)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704352157)  | |
| Enumeration Date | 2011-11-03 | 
| Last Update Date | 2025-07-15 |