NPI | 1073005997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308708) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 681624) |
2086S0129X Surgery, Vascular Surgery (Licence: NY 308708) | |
Enumeration Date | 2018-06-06 |
Last Update Date | 2023-06-30 |