NPI | 1326826900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ14927300) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NJ 26NR16415500) |
Enumeration Date | 2023-09-15 |
Last Update Date | 2023-10-03 |