| 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 |