NPI | 1679090476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: NJ 26NR19508500) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95148062) |
Enumeration Date | 2017-08-23 |
Last Update Date | 2018-05-08 |