NPI | 1508357104 |
---|---|
Former Name | MARY JANE FRONDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00810600) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00810600) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00810600) | |
Enumeration Date | 2018-05-20 |
Last Update Date | 2019-08-29 |