NPI | 1841524915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01100400) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 335809) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2024-05-30 |