NPI | 1336544931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00502100) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ NJ00502100) |
Enumeration Date | 2014-10-27 |
Last Update Date | 2024-11-14 |