NPI | 1831572049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01370600) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 625006) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2024-04-30 |