NPI | 1457125148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14979200) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19606300) |
Enumeration Date | 2023-11-13 |
Last Update Date | 2023-12-21 |