NPI | 1366045403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ01452800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20759000) |
163W00000X Registered Nurse (Licence: PA RN543986) | |
363LA2100X Nurse Practitioner Acute Care (Licence: PA SP026763) | |
Enumeration Date | 2020-11-20 |
Last Update Date | 2023-08-21 |