NPI | 1104172014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430611-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 561531-1) |
Enumeration Date | 2012-07-29 |
Last Update Date | 2012-07-29 |