| NPI | 1396774386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00727300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP1775) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP 3043) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-02-12 |