NPI | 1427355189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00429700) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 614680) |
163W00000X Registered Nurse (Licence: MA 285430) | |
163W00000X Registered Nurse (Licence: NJ 26NR16485000) | |
Enumeration Date | 2011-02-16 |
Last Update Date | 2014-02-17 |