| NPI | 1942489729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP030554) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00214300) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430372) | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2025-02-03 |