NPI | 1265780233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01434900) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 5683211) |
Enumeration Date | 2012-08-24 |
Last Update Date | 2024-06-25 |