NPI | 1235538950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ00509300) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00509300) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00509300) | |
Enumeration Date | 2014-08-19 |
Last Update Date | 2019-04-04 |