NPI | 1467785154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00261200) |
Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NJ 26NO12420700) |
364SF0001X Clinical Nurse Specialist Family Health (Licence: NJ 26NJ000261200) | |
Enumeration Date | 2009-09-11 |
Last Update Date | 2022-03-22 |