NPI | 1407197932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430801-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657409) |
Enumeration Date | 2013-03-07 |
Last Update Date | 2018-10-22 |