| NPI | 1508040759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NJ N11308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ N111308) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |