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