NPI | 1669987350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342420) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00791000) |
363L00000X Nurse Practitioner (Licence: NJ 26NO12001900) | |
Enumeration Date | 2017-12-05 |
Last Update Date | 2021-09-22 |