NPI | 1053653543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00426500) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016067) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00426500) | |
Enumeration Date | 2013-03-22 |
Last Update Date | 2019-04-16 |