NPI | 1376824029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005297) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 553440) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430613) | |
Enumeration Date | 2011-09-07 |
Last Update Date | 2022-09-19 |