NPI | 1487418331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15006600) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ15006600) |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-09-11 |