NPI | 1265795181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00382400) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00382400) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 26NJ00382400) | |
Enumeration Date | 2012-06-18 |
Last Update Date | 2023-10-13 |