NPI | 1689205411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01022700) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NJ 26NR15552600) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01022700) | |
Enumeration Date | 2020-01-30 |
Last Update Date | 2023-11-27 |