NPI | 1013059575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ01343900) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO11343600) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2023-10-23 |