| NPI | 1013329085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00510600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00510600) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 408495) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306992) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR17231200) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2026-05-14 |