NPI | 1225592454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26nj0088610) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26nj00886100) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26nj00886100) | |
Enumeration Date | 2019-01-22 |
Last Update Date | 2019-01-22 |