NPI | 1194346718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431765) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 662537) |
Enumeration Date | 2020-05-05 |
Last Update Date | 2021-05-12 |