NPI | 1083025027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY f431229-1) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306803-1) |
Enumeration Date | 2014-05-13 |
Last Update Date | 2024-09-20 |