| NPI | 1831497601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ008494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ008494) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP011279) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG0001115) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP026645) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: DE LG0001115) | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2024-03-12 |