NPI | 1255133690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15318100) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP032106) |
Enumeration Date | 2025-03-26 |
Last Update Date | 2025-06-03 |