NPI | 1477974095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ14928000) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 678130) |
163W00000X Registered Nurse (Licence: NJ 26NR20490500) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405453) | |
Enumeration Date | 2013-12-27 |
Last Update Date | 2025-07-10 |