NPI | 1043670912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431290) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 702873-1) |
Enumeration Date | 2016-03-04 |
Last Update Date | 2023-03-16 |