| NPI | 1720198179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00107600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 450358) |
| 163W00000X Registered Nurse (Licence: NJ 26NR08414400) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405060) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-07-11 |