NPI | 1356000343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01213800) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NJ 26NJ01213800) |
Enumeration Date | 2021-12-17 |
Last Update Date | 2023-12-13 |