NPI | 1750471694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ14859900) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP01993) |
363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019903) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2024-09-17 |