NPI | 1114955424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00117700) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 332851) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2007-07-08 |