NPI | 1457880106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431519-01) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 341795) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2023-06-29 |