NPI | 1306184023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00554500) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA SP012568) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430723-1) | |
Enumeration Date | 2013-01-31 |
Last Update Date | 2016-01-21 |