NPI | 1700266327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00570200) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26nj00570200) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2024-01-16 |