NPI | 1003460338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F433064) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 766499) |
Enumeration Date | 2019-07-25 |
Last Update Date | 2024-09-24 |