NPI | 1669645032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ NJ00067700) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP008078) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2019-10-18 |