NPI | 1134446941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310939) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 496676-1) |
163WW0000X Registered Nurse, Wound Care (Licence: NY 496676-1) | |
Enumeration Date | 2010-05-03 |
Last Update Date | 2023-08-10 |