| NPI | 1649659681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NJ00461100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO09960900) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |