NPI | 1225507296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308954-01) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN634718) |
363L00000X Nurse Practitioner (Licence: PA SP019814) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP019814) | |
Enumeration Date | 2018-11-19 |
Last Update Date | 2022-07-27 |