NPI | 1689911034 |
---|---|
Former Name | ALICE MOONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00397000) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ0039700) |
Enumeration Date | 2013-01-04 |
Last Update Date | 2024-04-17 |