NPI | 1326322546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00468000) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F336685) |
Enumeration Date | 2011-10-06 |
Last Update Date | 2016-09-13 |