NPI | 1932684578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse Emergency (Licence: PA SP027457) |
Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NJ 26NR19397400) |
363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00985400) | |
Enumeration Date | 2018-09-29 |
Last Update Date | 2023-12-01 |