NPI | 1609108380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00273000) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010704) |
Enumeration Date | 2010-02-05 |
Last Update Date | 2021-05-18 |