NPI | 1629478300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00518500) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 26NJ00518500) |
Enumeration Date | 2014-08-29 |
Last Update Date | 2022-03-15 |