NPI | 1043229883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NN097238) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN097238) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2023-08-11 |