NPI | 1568694974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26nj00212100) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430401) |
Enumeration Date | 2009-08-18 |
Last Update Date | 2014-01-16 |