| NPI | 1174863229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00422900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00422900) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00422900) | |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2025-05-15 |