NPI | 1255397014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR0893590) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F331541-1) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2009-02-02 |