| NPI | 1659997971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01038800) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01038800) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP022) | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-06-06 |