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 |