NPI | 1295226322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 26NJ00841200) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 308691) |
Enumeration Date | 2018-05-24 |
Last Update Date | 2024-04-23 |