| NPI | 1497292445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00703700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00703700) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00703700) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2025-05-07 |