NPI | 1326395443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430652) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 528922) |
Enumeration Date | 2012-08-08 |
Last Update Date | 2023-06-22 |