NPI | 1134574452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R23744) |
Additional Taxonomies | 251E00000X Home Health (Licence: NY 713494) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2023-08-01 |