| NPI | 1114523867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01087700) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: NJ 26NJ01087700) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2021-08-16 |