NPI | 1508234477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00608200) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13879400) |
163W00000X Registered Nurse (Licence: PA RN588101) | |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00608200) | |
Enumeration Date | 2015-09-09 |
Last Update Date | 2021-03-19 |