NPI | 1447658604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430877) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 43 430877) |
Enumeration Date | 2014-12-19 |
Last Update Date | 2019-09-20 |