NPI | 1861922684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00736100) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NR15733500) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2018-03-17 |