NPI | 1083984611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00338000) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR11403300) |
Enumeration Date | 2012-01-12 |
Last Update Date | 2012-01-12 |