| NPI | 1407242738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15204700) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 86019481) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-11-18 |