NPI | 1528247954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00156700) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NJ 26NR11630900) |
Enumeration Date | 2007-11-01 |
Last Update Date | 2012-05-30 |