| NPI | 1861971756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00838500) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00838500) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024180559) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00838500) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024180559) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00838500) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2022-05-25 |