NPI | 1518728740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ14983200) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP028965) |
Enumeration Date | 2024-01-16 |
Last Update Date | 2024-01-16 |