NPI | 1467204073 |
---|---|
Former Name | DEBORAH CARBIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15053700) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO11075400) |
Enumeration Date | 2024-04-05 |
Last Update Date | 2024-04-10 |