NPI | 1871171900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01119800) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25ma09049800) |
Enumeration Date | 2021-03-30 |
Last Update Date | 2025-01-06 |