NPI | 1356096713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14977400) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F348661-01) |
Enumeration Date | 2022-02-15 |
Last Update Date | 2024-07-12 |