NPI | 1831860105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NRJ01206000) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16495500) |
Enumeration Date | 2021-09-25 |
Last Update Date | 2021-12-01 |