NPI | 1609013267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00248300) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010152) |
Enumeration Date | 2009-01-19 |
Last Update Date | 2022-04-01 |