| NPI | 1669110854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP025544) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15140900) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15140900) | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2024-10-09 |