Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 26NC07311100 | NJ |
NPI | 1013108760 |
---|---|
Provider Name | Frances Mary Herman |
First Address | Trenton, NJ 08629-1915 |
Second Address | Trenton, NJ 08629-1915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2007 |
Last Update Date | 28/06/2012 |