NPI | 1851790992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9444701) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14432100) |
163W00000X Registered Nurse (Licence: FL 9444701) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00484000) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9444701) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00484000) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: MD AC002942) | |
Enumeration Date | 2014-08-14 |
Last Update Date | 2020-05-11 |