NPI | 1013586171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01359200) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20660900) |
Enumeration Date | 2021-06-23 |
Last Update Date | 2025-01-23 |