NPI | 1013119973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NJ 38MC00467000) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 350691) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027588) | |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14914900) | |
Enumeration Date | 2007-06-04 |
Last Update Date | 2023-09-15 |