NPI | 1467858480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26 NJ 005 43700) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339275) |
Enumeration Date | 2014-11-18 |
Last Update Date | 2024-10-28 |