NPI | 1184251944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00973600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 26NJ00973600) |
Enumeration Date | 2020-03-23 |
Last Update Date | 2021-11-19 |