NPI | 1649823519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00986300) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NJ 26NR18617100) |
Enumeration Date | 2019-07-19 |
Last Update Date | 2024-09-24 |