NPI | 1558776070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00507300) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00507300) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2024-11-04 |