| NPI | 1609388222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00775300) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 402321) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1000108) | |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2020-11-18 |