NPI | 1538320536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00072200) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F300165) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2022-04-03 |