NPI | 1720583214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00806200) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018118) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2021-05-28 |