NPI | 1083034946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00498600) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00498600) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00498600) | |
Enumeration Date | 2014-04-18 |
Last Update Date | 2015-03-25 |