NPI | 1770097859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01068600) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1114611) |
Enumeration Date | 2017-11-28 |
Last Update Date | 2024-07-30 |