NPI | 1366148454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 433289) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 9275298-4405) |
Enumeration Date | 2023-02-01 |
Last Update Date | 2025-08-27 |