NPI | 1508806159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN03287900) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA VP003411F) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2007-07-08 |