NPI | 1386293413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00958700) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 26NJ00958700) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00958700) | |
Enumeration Date | 2019-09-11 |
Last Update Date | 2024-07-25 |