| NPI | 1821102153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR08410900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN278739L) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NJ NC08410900) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |