NPI | 1154398329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 26NNO6681300) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN06681300) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2014-12-02 |