NPI | 1457974628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01015800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17134900) |
Enumeration Date | 2020-05-22 |
Last Update Date | 2025-07-16 |