NPI | 1922078054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NN07132500) |
Additional Taxonomies | 364SC0200X Clinical Nurse Specialist Critical Care Medicine (Licence: NJ 26NC07132500) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2007-07-09 |