NPI | 1346761103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431259) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 661209) |
163W00000X Registered Nurse (Licence: NY 693410) | |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 661209) | |
Enumeration Date | 2017-07-03 |
Last Update Date | 2024-03-08 |