NPI | 1942489729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00214300) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430372) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2019-07-19 |