NPI | 1356857908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP1700X Nurse Practitioner, Perinatal (Licence: NJ 26NJ00791400) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP020735) |
Enumeration Date | 2017-12-19 |
Last Update Date | 2022-09-12 |