| NPI | 1689129298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15019200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN669720) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP016576) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15019200) | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2024-06-08 |