NPI | 1013145788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 26NJ01420200) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 593144) |
Enumeration Date | 2009-07-01 |
Last Update Date | 2023-01-11 |