NPI | 1366581134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN10558700) |
Additional Taxonomies | 174400000X Specialist (Licence: NJ 26NN10558700) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2024-04-26 |