NPI | 1821470923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11013678) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11013678) |
207QA0505X Family Medicine Adult Medicine (Licence: NJ 26NJ00582400) | |
363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00582400) | |
Enumeration Date | 2015-06-24 |
Last Update Date | 2024-07-03 |