NPI | 1043045065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15069600) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR25963500) |
163W00000X Registered Nurse (Licence: NY 764261-1) | |
363L00000X Nurse Practitioner (Licence: NY F351908-01) | |
Enumeration Date | 2024-09-09 |
Last Update Date | 2024-09-09 |