| NPI | 1629856679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ14920700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14669200) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |