NPI | 1013579465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432009) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA sp020455) |
Enumeration Date | 2019-07-06 |
Last Update Date | 2021-09-03 |