NPI | 1386283968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01072600) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY pending) |
Enumeration Date | 2019-12-31 |
Last Update Date | 2021-12-16 |