| NPI | 1134868433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01333600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO12100700) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-10-20 |