NPI | 1649011297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311922) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR23795100) |
163WC0400X Registered Nurse, Case Management (Licence: NY 491303) | |
163W00000X Registered Nurse (Licence: NJ RN555950) | |
Enumeration Date | 2024-06-05 |
Last Update Date | 2024-07-19 |