NPI | 1437913670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15007600) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13053200) |
Enumeration Date | 2024-02-08 |
Last Update Date | 2024-03-20 |