| NPI | 1578847695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024179537) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00348400) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401468-1) | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2024-09-05 |