NPI | 1033209747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN09085600) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NR90856) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-10-29 |