NPI | 1497639611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN09974700) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NN09974700) |
Enumeration Date | 2025-08-01 |
Last Update Date | 2025-08-25 |