NPI | 1588119150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00661800) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00661800) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00661800) | |
Enumeration Date | 2016-08-23 |
Last Update Date | 2017-03-27 |