NPI | 1154898005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NJ 26NJ14855800) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AR A005947) |
Enumeration Date | 2018-10-30 |
Last Update Date | 2023-12-07 |