NPI | 1033883665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15087800) |
Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NJ 26nr21201500) |
Enumeration Date | 2021-08-06 |
Last Update Date | 2024-07-09 |