| NPI | 1255568200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26nj14985300) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 297135) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NJ 26NR20759500) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2024-03-15 |