NPI | 1023310877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00398400) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010921) |
Enumeration Date | 2010-11-30 |
Last Update Date | 2016-11-08 |