| NPI | 1730673872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP022781) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00840600) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY 308685) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00840600) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2024-09-05 |