NPI | 1962828152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NJ 26NJ00465900) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00465900) |
Enumeration Date | 2014-03-12 |
Last Update Date | 2024-04-26 |