NPI | 1881476414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11028577) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14931600) |
Enumeration Date | 2023-10-18 |
Last Update Date | 2025-02-22 |