NPI | 1467757815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ00317700) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00317700) |
Enumeration Date | 2011-01-17 |
Last Update Date | 2024-11-05 |