NPI | 1629706338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ01395100) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NJ 26NR10795700) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN739229) | |
Enumeration Date | 2022-08-10 |
Last Update Date | 2023-04-17 |