NPI | 1376795245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 274544) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 610980) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432409) | |
Enumeration Date | 2008-10-22 |
Last Update Date | 2022-08-22 |