NPI | 1356644322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25437) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00314600) |
Enumeration Date | 2010-12-14 |
Last Update Date | 2024-11-15 |