NPI | 1962945253 |
---|---|
Former Name | JACQUELINE PAPPAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00724300) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3410811) |
Enumeration Date | 2016-11-18 |
Last Update Date | 2025-06-17 |