NPI | 1851479190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00018400) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR10503500) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2014-09-19 |