NPI | 1366224834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14939800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18821500) |
163W00000X Registered Nurse (Licence: PA RN689119) | |
Enumeration Date | 2023-10-18 |
Last Update Date | 2023-10-18 |