NPI | 1215339304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01035500) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338926-1) |
Enumeration Date | 2014-09-19 |
Last Update Date | 2023-01-31 |