NPI | 1730481292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00331400) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO10641000) |
Enumeration Date | 2010-12-03 |
Last Update Date | 2024-08-26 |