| NPI | 1144929563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01452100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20397900) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-03-07 |