| NPI | 1508200098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00429400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13182300) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2014-05-28 |