NPI | 1700435591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00936200) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP020325) |
Enumeration Date | 2019-09-05 |
Last Update Date | 2024-03-08 |