NPI | 1841957446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15201600) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010746) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP031699) | |
Enumeration Date | 2021-11-18 |
Last Update Date | 2025-04-08 |