NPI | 1144849803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01101800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 691959-1) |
163W00000X Registered Nurse (Licence: NJ 26NR16774200) | |
Enumeration Date | 2020-04-13 |
Last Update Date | 2021-04-27 |