| NPI | 1457240269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15426400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19252900) |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-11-21 |