NPI | 1467641449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NJ 26NJ00131900) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00131900) |
363LF0000X Nurse Practitioner, Family (Licence: NY 336671) | |
Enumeration Date | 2007-10-16 |
Last Update Date | 2014-07-14 |