| NPI | 1558958272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405157-01) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 692443-01) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15021500) | |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2024-09-18 |