| NPI | 1851933279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00990100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14896700) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2020-02-06 |