NPI | 1588910798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00757700) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430662-1) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2020-12-22 |