NPI | 1497952444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN10236400) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NN10236400) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2018-08-20 |