| NPI | 1992101729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NR13551200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13551200) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2020-09-15 |