NPI | 1962974329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00866500) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009320) |
Enumeration Date | 2018-12-26 |
Last Update Date | 2019-08-30 |