NPI | 1043805146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01106400) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 431795) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431795) | |
Enumeration Date | 2021-03-02 |
Last Update Date | 2021-04-23 |