NPI | 1609811611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ NN08226000) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NN08226000) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2013-02-14 |