NPI | 1356840979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431645) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 26NR13779800) |
Enumeration Date | 2018-02-09 |
Last Update Date | 2023-05-22 |