NPI | 1518415488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00663300) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 26NJ00663300) |
Enumeration Date | 2016-09-20 |
Last Update Date | 2025-08-14 |