NPI | 1811534506 |
---|---|
Other Name | AUDRA ROSE HOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00932400) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 257168) |
Enumeration Date | 2019-12-02 |
Last Update Date | 2024-06-26 |