NPI | 1689970600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00539800) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 26NR11606200) |
Enumeration Date | 2011-02-09 |
Last Update Date | 2024-01-17 |