| NPI | 1720557184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJJ00851700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00851700) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308957) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403860) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2025-02-26 |