NPI | 1932861424 |
---|---|
Former Name | JENNA DRUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NJ 26NJ01204200) |
Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: NJ 26NR19152000) |
Enumeration Date | 2021-10-12 |
Last Update Date | 2023-03-08 |