| NPI | 1619938610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NO06576300) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NN06576300) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-07-08 |