| NPI | 1982078275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NR13177900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00600200) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ00600200) | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2023-02-07 |