| NPI | 1245684281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00626500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00626500) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP021319) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2024-08-15 |