| NPI | 1760854533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00558800) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26nj00558800) |
| 363L00000X Nurse Practitioner (Licence: NJ 26n012308800) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2023-12-22 |