NPI | 1013108760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NC07311100) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NJ 26NR07311100) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2012-06-28 |