NPI | 1982883443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 37PC00674300) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26nj00166500) |
Enumeration Date | 2007-10-31 |
Last Update Date | 2024-10-09 |