NPI | 1083397087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14894700) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14894700) |
Enumeration Date | 2023-08-08 |
Last Update Date | 2024-11-05 |