| NPI | 1699861625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9415718) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00066900) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00066900) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-10-16 |