NPI | 1720020225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 26NJ00651900) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 26NO09133100) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2017-07-12 |