NPI | 1356363790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00073700) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430237-1) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2012-01-10 |