NPI | 1699149666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00581700) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340000-1) |
Enumeration Date | 2015-11-13 |
Last Update Date | 2017-11-30 |