| NPI | 1871856211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11020089) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NP05734800) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2022-06-15 |