| NPI | 1720539539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 26NJ15179800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19297600) |
| 163W00000X Registered Nurse (Licence: NY 723362) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2025-02-04 |