NPI | 1457711962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00611800) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307358-1) |
Enumeration Date | 2016-02-25 |
Last Update Date | 2025-10-14 |