NPI | 1619560943 |
---|---|
Former Name | GABRIELLE LORIN BECKEMEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14869200) |
Enumeration Date | 2021-02-17 |
Last Update Date | 2025-02-21 |