NPI | 1659967511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01086700) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01086700) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01086700) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406998) | |
Enumeration Date | 2020-12-15 |
Last Update Date | 2025-08-21 |