| NPI | 1720624968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00999500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021827) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2024-04-29 |