| NPI | 1518280858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 2008008611) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00257200) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2018-10-22 |