| NPI | 1821856816 |
|---|---|
| Other Name | SALLIE JOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15052600) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405709-01) |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-06-06 |