NPI | 1982156832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00773500) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F4310501) |
Enumeration Date | 2016-10-26 |
Last Update Date | 2018-03-17 |