NPI | 1316313323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00628100) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9322246) |
163W00000X Registered Nurse (Licence: NJ 26NR12804600) | |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9322246) | |
Enumeration Date | 2015-08-13 |
Last Update Date | 2020-10-21 |