NPI | 1972621183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000760) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00076800) |
363LF0000X Nurse Practitioner, Family (Licence: MD AC001473) | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2023-09-18 |