NPI | 1285084053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310748) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95124767) |
163W00000X Registered Nurse (Licence: FL 9470347) | |
163W00000X Registered Nurse (Licence: NY 727358) | |
163W00000X Registered Nurse (Licence: NJ 26NR21742700) | |
Enumeration Date | 2016-06-13 |
Last Update Date | 2025-01-30 |