NPI | 1417440538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432903-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 747041-1) |
Enumeration Date | 2018-06-13 |
Last Update Date | 2024-11-21 |