NPI | 1578627105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ NR045504300) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NC04504300) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2007-07-08 |