NPI | 1578358511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15326500) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F356373-01) |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-07-24 |