| NPI | 1568992659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ01289500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR1691500) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-07-21 |