NPI | 1255444337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP008815) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00107100) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2016-09-14 |