NPI | 1073928990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430827) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 601660) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2021-03-23 |