| NPI | 1396168480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15069000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 680166) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2024-10-08 |