| 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 |