NPI | 1801180062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00783500) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 641140) |
Enumeration Date | 2011-06-06 |
Last Update Date | 2018-04-26 |