NPI | 1952054660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01307900) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310532) |
Enumeration Date | 2022-02-02 |
Last Update Date | 2023-05-25 |