| NPI | 1093108821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01296700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17177800) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2022-04-21 |