NPI | 1497288765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00720400) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00720400) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00720400) | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2023-05-22 |