NPI | 1851812762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 233991) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19352000) |
163W00000X Registered Nurse (Licence: AZ 135036) | |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00746500) | |
Enumeration Date | 2017-06-30 |
Last Update Date | 2020-06-18 |