NPI | 1801144811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00390000) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NJ00390000) |
Enumeration Date | 2012-08-22 |
Last Update Date | 2021-06-29 |