NPI | 1053855502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00819600) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431085) |
Enumeration Date | 2016-12-16 |
Last Update Date | 2024-02-22 |