| NPI | 1821474412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01435100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172750) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403717) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2023-07-25 |