NPI | 1760849301 |
---|---|
Former Name | CAROLINE RUNNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00608400) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP015599) |
Enumeration Date | 2016-01-27 |
Last Update Date | 2024-10-08 |