NPI | 1942216643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NN07028800) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN07028800) |
163W00000X Registered Nurse (Licence: NJ 26NO07028800) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2007-07-08 |