| NPI | 1922777580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP024151) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407026) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15298500) | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2025-12-09 |