| NPI | 1679347389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj14936300) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP035168) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP028113) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ149363) | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2026-04-06 |