NPI | 1790540581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15100800) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ15100800) |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP028641) | |
Enumeration Date | 2024-02-20 |
Last Update Date | 2024-09-04 |