| NPI | 1942322110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9412499) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00048200) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402073-1) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-02-08 |