| NPI | 1790863025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00233300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO11121600) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2009-08-24 |