NPI | 1518406305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26nj00845900) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 6NR16834000) |
163W00000X Registered Nurse (Licence: NY 714413-1) | |
Enumeration Date | 2017-02-14 |
Last Update Date | 2022-07-27 |