| NPI | 1760088058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ01099600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ01099600) |
| 363LF0000X Nurse Practitioner Family (Licence: NY 347029) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2024-09-04 |