NPI | 1497798490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 26NO05034800) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00009800) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2016122) | |
Enumeration Date | 2006-06-14 |
Last Update Date | 2008-05-15 |