NPI | 1184209017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01227100) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NR19479600) |
Enumeration Date | 2021-03-11 |
Last Update Date | 2022-04-14 |