| NPI | 1881059178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01480600) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431844) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404736) | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2024-02-14 |