NPI | 1063597250 |
---|---|
Former Name | LOLETA C SAMUEL-O'GARRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN10862500) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NN108625) |
363L00000X Nurse Practitioner (Licence: NJ 26NN108625) | |
Enumeration Date | 2006-10-26 |
Last Update Date | 2022-05-17 |