NPI | 1427473370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00494300) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13274900) |
Enumeration Date | 2014-03-03 |
Last Update Date | 2015-04-23 |