| NPI | 1659967511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01086700) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01086700) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01086700) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406998) | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2025-08-21 |