NPI | 1588211346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00936600) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00936600) |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ0093660) | |
Enumeration Date | 2019-08-26 |
Last Update Date | 2022-06-14 |