NPI | 1144551276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00901900) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010708) |
Enumeration Date | 2010-01-29 |
Last Update Date | 2019-05-01 |