NPI | 1255503892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NJ 26NJ00533700) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26nj00533700) |
363LF0000X Nurse Practitioner, Family (Licence: PA sp014222) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA sp021092) | |
Enumeration Date | 2008-03-24 |
Last Update Date | 2020-06-22 |