| NPI | 1710696760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP026956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR07579100) |
| 163W00000X Registered Nurse (Licence: PA RN292626L) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01369200) | |
| 363L00000X Nurse Practitioner (Licence: PA MJ0485133) | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2026-07-16 |