NPI | 1841440344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R192265) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO12350200) |
Enumeration Date | 2008-09-22 |
Last Update Date | 2025-05-09 |