NPI | 1578107892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15362600) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP020986) |
Enumeration Date | 2019-10-30 |
Last Update Date | 2025-10-06 |