NPI | 1518588243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 2020005052) |
Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NJ 26NR13121000) |
Enumeration Date | 2020-05-05 |
Last Update Date | 2020-08-06 |