NPI | 1154915999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ01071600) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NR14894700) |
363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ01071600) | |
363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ01071600) | |
363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NR14894700) | |
363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NR14894700) | |
Enumeration Date | 2021-02-23 |
Last Update Date | 2021-02-23 |