NPI | 1912581737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 871769) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11015889) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01317600) | |
Enumeration Date | 2021-05-07 |
Last Update Date | 2024-04-15 |