| NPI | 1649525510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00382100) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00382100) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP026486) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2024-02-15 |