NPI | 1598332819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01292100) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR21697500) |
Enumeration Date | 2021-06-06 |
Last Update Date | 2023-04-11 |