| NPI | 1083082739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A005640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR24120100) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01350100) | |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2024-09-06 |