| NPI | 1861158784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403732) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP027075) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03254) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01190700) | |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2023-07-17 |