NPI | 1437985827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15145300) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ15145300) |
Enumeration Date | 2024-09-11 |
Last Update Date | 2024-11-26 |