NPI | 1982200010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01083700) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ01083700) |
Enumeration Date | 2020-12-04 |
Last Update Date | 2024-11-05 |