| NPI | 1346752094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00791600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15265300) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00791600) | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2024-11-22 |