| NPI | 1699114314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 21733) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26nj00435900) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 40401800) | |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2022-03-25 |