NPI | 1942635297 |
---|---|
Former Name | CAREN JILL POLONSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00457800) |
Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NJ 26NJ00457800) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2023-04-03 |