| NPI | 1609415645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347889-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20600600) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 742389) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01259900) | |
| Enumeration Date | 2019-12-21 |
| Last Update Date | 2022-01-30 |