| NPI | 1851666838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ14956300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14956300) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2025-02-27 |