NPI | 1639437403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12627400) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00373000) |
207R00000X Internal Medicine (Licence: MI 4301512520) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-30 |
Last Update Date | 2025-09-11 |