| NPI | 1700854254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00467300) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CHO5011) |
| 111N00000X Chiropractor (Licence: NJ 38MC00683700) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NJ 26NO06886900) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL RN1632542) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2013-11-19 |