NPI | 1780064345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00563800) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00563800) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00563800) | |
Enumeration Date | 2015-06-08 |
Last Update Date | 2024-11-22 |