NPI | 1770008302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00754800) |
Additional Taxonomies | 174400000X Specialist |
207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 26NJ00754800) | |
Enumeration Date | 2017-08-04 |
Last Update Date | 2018-07-27 |