NPI | 1417407446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ01174800) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9320236) |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01174800) | |
Enumeration Date | 2016-10-13 |
Last Update Date | 2025-01-10 |