| NPI | 1366913972 |
|---|---|
| Former Name | VALINE ANN BOGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00861100) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ00861100) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2024-04-12 |