| NPI | 1679651913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00484300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR08092400) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-02-09 |