NPI | 1396303707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01456000) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F303046-1) |
Enumeration Date | 2019-05-31 |
Last Update Date | 2023-09-05 |