NPI | 1356195655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ15049000) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ15049000) |
363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NJ 26NJ15049000) | |
363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ15049000) | |
Enumeration Date | 2024-04-15 |
Last Update Date | 2024-04-15 |