| NPI | 1477138378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 2024087196) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2024-11-06 |