NPI | 1013345172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00552500) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430759-1) |
Enumeration Date | 2013-10-28 |
Last Update Date | 2024-12-04 |