NPI | 1225842305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ15285900) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NR17580000) |
Enumeration Date | 2025-02-06 |
Last Update Date | 2025-07-30 |