NPI | 1184334674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 26NJ01352500) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ01352500) |
Enumeration Date | 2022-11-25 |
Last Update Date | 2025-05-06 |