Kiersten Ilaoa Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Marlton, NJ

NPI

1710549431

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

26NJ00952100 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2019-07-02

Last updated

2021-04-23