| NPI | 1679222814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01336900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26nr09190600) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2023-03-06 |