NPI | 1417085846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00041700) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00041700) |
163W00000X Registered Nurse (Licence: NJ 26NR10857800) | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2025-06-02 |