| NPI | 1780983601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00622500) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0000138) |
| 163W00000X Registered Nurse (Licence: DE L1-0037851) | |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2016-02-25 |