NPI | 1962828152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NJ 26NJ00465900) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00465900) |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00465900) | |
Enumeration Date | 2014-03-12 |
Last Update Date | 2025-09-23 |