NPI | 1063095826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01142600) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F347193) |
Enumeration Date | 2021-04-29 |
Last Update Date | 2021-04-29 |