| NPI | 1336682962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 26NJ01218600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009130) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ01218600) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2025-03-31 |