NPI | 1114448776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00826900) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: NY 6708251) |
Enumeration Date | 2017-07-03 |
Last Update Date | 2018-09-21 |