| NPI | 1821423013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NJ 26NJ00461800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00461800) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2024-09-26 |