| NPI | 1962524983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0031804) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00059800) |
| 364S00000X Clinical Nurse Specialist (Licence: NJ 26N011376500) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-02-02 |