| NPI | 1558985150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01035900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 345927) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406887) | |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2025-04-09 |