NPI | 1518528538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NJ 26NR15253800) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00949700) |
Enumeration Date | 2019-06-21 |
Last Update Date | 2019-09-23 |