NPI | 1841663929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26nj00750600) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307547) |
Enumeration Date | 2015-11-11 |
Last Update Date | 2024-09-12 |