NPI | 1447780879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00704200) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14894400) |
Enumeration Date | 2017-06-18 |
Last Update Date | 2018-12-27 |