NPI | 1124531900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00776400) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP018109) |
Enumeration Date | 2017-11-15 |
Last Update Date | 2020-08-28 |