NPI | 1942911979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NR16289500) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NJ 26NJ01403600) |
Enumeration Date | 2022-12-12 |
Last Update Date | 2023-12-02 |