| NPI | 1922719814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404679) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01446900) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9322814) | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-06-29 |