NPI | 1396358552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431874) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347107) |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01338700) | |
Enumeration Date | 2020-08-27 |
Last Update Date | 2024-10-30 |