NPI | 1912036260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26nr02353700) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NJ 26nc02353700) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2007-07-08 |