NPI | 1750034989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01256900) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 26NJ01256900) |
Enumeration Date | 2022-01-28 |
Last Update Date | 2024-05-08 |