NPI | 1447843008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01116300) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01116300) |
Enumeration Date | 2021-02-15 |
Last Update Date | 2024-09-23 |