NPI | 1184312035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NY 432679) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 752187) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432679) | |
Enumeration Date | 2023-04-28 |
Last Update Date | 2023-08-04 |