NPI | 1609529973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14934200) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP025209) |
Enumeration Date | 2022-01-27 |
Last Update Date | 2023-11-20 |