| NPI | 1700532272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 2022001290) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404112-01) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11018441) | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2024-02-07 |