| NPI | 1255663704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ00873900) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00873900) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2024-07-17 |