NPI | 1083159115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR06367800) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN220660L) |
Enumeration Date | 2016-12-28 |
Last Update Date | 2021-02-24 |