NPI | 1255394995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN09352500) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305375) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2010-12-03 |