NPI | 1518465475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00797500) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 26NJ00797500) |
Enumeration Date | 2018-01-25 |
Last Update Date | 2018-03-28 |