NPI | 1992274245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NJ 26NJ00835000) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR12453000) |
Enumeration Date | 2018-11-15 |
Last Update Date | 2020-10-16 |