NPI | 1548811946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ14864900) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ14864900) |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP020273) | |
Enumeration Date | 2019-09-26 |
Last Update Date | 2024-10-09 |