NPI | 1063974129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431436) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1034243) |
Enumeration Date | 2019-04-05 |
Last Update Date | 2024-07-22 |