NPI | 1336653724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01430100) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR12835000) |
Enumeration Date | 2017-11-22 |
Last Update Date | 2023-03-31 |