NPI | 1932684578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00985400) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NR19397400) |
163WE0003X Registered Nurse, Emergency (Licence: PA SP027457) | |
Enumeration Date | 2018-09-29 |
Last Update Date | 2024-11-21 |