NPI | 1154843068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431346) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 716553-1) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2022-11-03 |