NPI | 1518575232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ01052600) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NJ 26NR16855000) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01052600) | |
Enumeration Date | 2020-07-20 |
Last Update Date | 2024-04-17 |