| NPI | 1891844890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NN05675900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR05675900) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NN05675900) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-08-30 |