| NPI | 1992110209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00632900) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401525-1) |
| 163W00000X Registered Nurse (Licence: NY 630223-1) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR18516400) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2018-05-15 |