NPI | 1225508203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00883800) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 26NJ00883800) |
Enumeration Date | 2018-12-03 |
Last Update Date | 2023-03-15 |