| NPI | 1588038392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11012271) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00602600) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402122) | |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2024-03-25 |