NPI | 1063798387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00246400) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP017241) |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP017241) | |
Enumeration Date | 2011-11-01 |
Last Update Date | 2024-10-21 |