NPI | 1396470662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NR14092200) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26nj01217600) |
364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: NJ 26NR14092200) | |
Enumeration Date | 2022-07-20 |
Last Update Date | 2024-04-24 |