| NPI | 1326186982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NJ 26NC04861500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NC04861500) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2009-12-22 |