| NPI | 1720389158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R165913) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14915000) |
| 363L00000X Nurse Practitioner (Licence: MD R165913) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ14915000) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2024-06-21 |