NPI | 1033684543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 346151) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 14011) |
363L00000X Nurse Practitioner (Licence: TX AP138234) | |
Enumeration Date | 2018-10-11 |
Last Update Date | 2024-11-02 |