| NPI | 1912036260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR02353700) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: NJ 26NC02353700) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |