NPI | 1366160269 |
---|---|
Former Name | SHEENA COPELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01347700) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01347700) |
Enumeration Date | 2022-08-16 |
Last Update Date | 2024-04-11 |