NPI | 1114438439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00779600) |
Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NJ 26N012220700) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2024-02-19 |