NPI | 1316393135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14863900) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14863900) |
Enumeration Date | 2016-05-11 |
Last Update Date | 2025-05-14 |