NPI | 1831257765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00093200) |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: NJ 26NJ00093200) |
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: DE L8-0010577) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2025-02-03 |