NPI | 1477558351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00030600) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11009647) |
363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP003816C) | |
Enumeration Date | 2005-06-16 |
Last Update Date | 2021-03-08 |