| NPI | 1578641809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NC05212200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO05212200) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NC05212200) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-07-21 |