NPI | 1538177910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430151-1) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 303444) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303444-1) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2023-07-17 |