NPI | 1700558921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01223500) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01223500) |
363L00000X Nurse Practitioner (Licence: NJ 26NR18879900) | |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01223500) | |
Enumeration Date | 2021-10-05 |
Last Update Date | 2022-06-27 |