NPI | 1336731926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01083300) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ01083300) |
Enumeration Date | 2021-02-05 |
Last Update Date | 2024-06-03 |