NPI | 1215338942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00531700) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13329400) |
163WH0200X Registered Nurse, Home Health (Licence: PA RN503647L) | |
363LF0000X Nurse Practitioner, Family (Licence: PA SP014198) | |
Enumeration Date | 2014-09-12 |
Last Update Date | 2023-03-22 |