NPI | 1427350503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00696100) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336339) |
Enumeration Date | 2010-11-23 |
Last Update Date | 2024-05-09 |