NPI | 1508034364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: NJ 058733) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00117400) |
Enumeration Date | 2008-02-14 |
Last Update Date | 2008-02-14 |