NPI | 1619634656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ01217200) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17613800) |
Enumeration Date | 2021-11-24 |
Last Update Date | 2021-11-24 |