| NPI | 1225317373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00338800) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 30306006) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00338800) | |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2024-02-26 |