| NPI | 1245664853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00976500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN642756) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2020-02-13 |