NPI | 1790753457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 26NJ00075100) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00075100) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2014-01-03 |