NPI | 1801056643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00153700) |
Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: NJ 26NJ00153700) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2022-07-21 |