NPI | 1942531645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00227800) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00227800) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY 43430502) | |
Enumeration Date | 2010-01-19 |
Last Update Date | 2018-03-26 |