NPI | 1720528342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00710400) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD AC004881) |
Enumeration Date | 2017-03-01 |
Last Update Date | 2024-04-03 |