NPI | 1386887040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00178300) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305041) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26nj00178300) | |
Enumeration Date | 2009-04-10 |
Last Update Date | 2013-05-20 |