NPI | 1407512247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01148000) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP023759) |
Enumeration Date | 2021-11-16 |
Last Update Date | 2024-12-31 |