NPI | 1689829095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ01116800) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN322210L) |
363LA2200X Nurse Practitioner Adult Health (Licence: PA SP009533) | |
Enumeration Date | 2008-11-26 |
Last Update Date | 2021-03-23 |