NPI | 1063716769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00512000) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 581305) |
163W00000X Registered Nurse (Licence: NJ 26NR17113600) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430774) | |
Enumeration Date | 2011-01-10 |
Last Update Date | 2022-01-27 |