| NPI | 1366952137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01269800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16311400) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 282894) | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2023-09-05 |