NPI | 1720360746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00345100) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016443) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2016-11-14 |