NPI | 1861433229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN06873500) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NJ 26NN06873500) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2022-07-12 |