NPI | 1437810587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ01253400) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ NA) |
363LF0000X Nurse Practitioner Family (Licence: NY F348943) | |
Enumeration Date | 2021-12-31 |
Last Update Date | 2022-05-03 |