NPI | 1437884368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01212200) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01212200) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01212200) | |
Enumeration Date | 2022-07-25 |
Last Update Date | 2024-05-31 |