NPI | 1982854808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00570800) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00570800) |
Enumeration Date | 2008-09-27 |
Last Update Date | 2022-02-25 |