NPI | 1275021107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00820900) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018665) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2023-10-30 |