| NPI | 1205136215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26nj00719600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00719600) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP023523) | |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2023-09-28 |