NPI | 1114441144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431166) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 637106-1) |
Enumeration Date | 2017-08-01 |
Last Update Date | 2022-07-21 |