NPI | 1952663304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00381700) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 337102) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2024-11-13 |