| NPI | 1407193881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15177600) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 312292-1) |
| Enumeration Date | 2013-01-06 |
| Last Update Date | 2024-10-23 |