NPI | 1881979664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00346900) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: NJ 26NR12669200) |
Enumeration Date | 2011-10-12 |
Last Update Date | 2011-10-30 |