NPI | 1790253086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NJ 26NJ00876100) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00876100) |
Enumeration Date | 2018-11-05 |
Last Update Date | 2024-06-25 |