| NPI | 1689022279 |
|---|---|
| Former Name | MAGNOLITA BONHEUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00638800) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00638800) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: NJ 26NJ00638800) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2024-04-10 |