NPI | 1164538542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA TP004241C) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NR09033800) |
363LP2300X Nurse Practitioner Primary Care (Licence: PA TP004241C) | |
363LX0106X Nurse Practitioner Occupational Health (Licence: NJ 26NR09033800) | |
363LX0106X Nurse Practitioner Occupational Health (Licence: PA TP004241C) | |
Enumeration Date | 2006-08-21 |
Last Update Date | 2007-07-08 |