| NPI | 1821579368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 2020167456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00895600) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2021-05-10 |