| NPI | 1558410472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00234000) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400671-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 005002918) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-03-17 |