| NPI | 1710705819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407433) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 15193) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15444200) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL TPAN3824) | |
| 163W00000X Registered Nurse (Licence: CT 174839) | |
| 163W00000X Registered Nurse (Licence: NY 808739) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR27410500) | |
| Enumeration Date | 2024-09-28 |
| Last Update Date | 2025-12-05 |