NPI | 1528505328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01003200) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP017158) |
Enumeration Date | 2017-01-31 |
Last Update Date | 2020-07-08 |