NPI | 1619191038 |
---|---|
Former Name | ELIZABETH JANETTE HOOGMOED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00072500) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00072500) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2016-11-04 |