NPI | 1124327770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00417600) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 430578) |
163W00000X Registered Nurse (Licence: NJ 26NR11720200) | |
163W00000X Registered Nurse (Licence: NY 640626-1) | |
Enumeration Date | 2011-03-22 |
Last Update Date | 2014-08-21 |