| NPI | 1104302827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00871900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN654742) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2024-06-10 |