NPI | 1427523331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018890) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00893400) |
Enumeration Date | 2018-10-06 |
Last Update Date | 2023-03-17 |