| NPI | 1043646839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00474200) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00474200) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 2012020891) | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2022-01-03 |