NPI | 1447601703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00645700) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00645700) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00645700) | |
Enumeration Date | 2016-06-28 |
Last Update Date | 2023-04-18 |