NPI | 1902482599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR15003000) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15003000) |
363LF0000X Nurse Practitioner, Family (Licence: NY F342981) | |
Enumeration Date | 2021-03-23 |
Last Update Date | 2024-07-31 |