NPI | 1134117336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ06925300) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP004599M) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2021-05-18 |