NPI | 1790784429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00318200) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN345567L) |
363L00000X Nurse Practitioner (Licence: DE LG0000208) | |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9297250) | |
363LF0000X Nurse Practitioner, Family (Licence: PA UP004711B) | |
Enumeration Date | 2005-07-15 |
Last Update Date | 2024-08-30 |