NPI | 1841203726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP007017B) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00004700) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2014-03-26 |