| NPI | 1083266621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00981100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20069200) |
| 163W00000X Registered Nurse (Licence: DE L1-0052631) | |
| 163W00000X Registered Nurse (Licence: PA RN685617) | |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2020-02-13 |